EURORAD ESR

Case 15135

Tortuous internal carotid artery causing dysphagia: a case report

Author(s)
Chance T, Peacock K, James R

Department of Radiology, Royal United Hospitals Bath, Combe Park BA1 3NG Bath; Email: tom.chance@nhs.net
 
Patient
male, 85 year(s)
 
 
  • Figure 1
    Lateral barium swallow

    There is an apparent filling defect in the posterior aspect of the pharynx (arrow).

     
    Area of Interest: Head and neck; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
  • Figure 2
    Sagittal contrast-enhanced CT

    The right internal carotid artery is situated anterior to the vertebral bodies, corresponding to the filling defect seen on fluoroscopy.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
  • Figure 3
    Axial contrast-enhanced CT

    The right internal carotid artery (white arrow) is in an abnormal central position. The right external carotid artery (green arrow), and left internal carotid artery (red arrow) are labelled.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
  • Figure 4
    3D volumetric rendering of contrast-enhanced CT

    The right internal carotid artery deviates medially whilst left carotid arteries have normal appearances.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
  • Figure 5
    Coronal MIP contrast-enhanced CT

    The right internal carotid artery (white arrow) passes close to the midline. The right external carotid (red arrow) and right common carotid arteries (green arrow) are also indicated.

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Swallowing disorders;
     
     
There is an apparent filling defect in the posterior aspect of the pharynx (arrow).
 
The right internal carotid artery is situated anterior to the vertebral bodies, corresponding to the filling defect seen on fluoroscopy.
 
The right internal carotid artery (white arrow) is in an abnormal central position. The right external carotid artery (green arrow), and left internal carotid artery (red arrow) are labelled.
 
The right internal carotid artery deviates medially whilst left carotid arteries have normal appearances.
 
The right internal carotid artery (white arrow) passes close to the midline. The right external carotid (red arrow) and right common carotid arteries (green arrow) are also indicated.
 
 
 
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